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Doctor insights on: Fibroadenoma

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Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
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What is fibroadenoma?

What is fibroadenoma?

Benign Breast Tumor: Fibroadenomas are the most common benign breast tumor. They have a tendency to grow in response to high estrogen levels as seen in puberty and pregnancy. They have a characteristic appearance on ultrasound but can be confused with cancers and are often biopsied by nonsurgical means to establish diagnosis. They do not need to be removed but some women opt for this due to pain or cosmetic concerns.

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Dr. Romeo Mandanas Dr. Mandanas
Internal Medicine - Hematology & Oncology
34 years in practice
Cebu Institute of Medicine
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What are the main symptoms of fibroadenoma?

What are the main symptoms of fibroadenoma?

Painless breast lump: Fibroadenomas are benign tumors that could occur in the breast. They are usually round and not painful, easily movable with smooth edges. Average size is about an inch. Many radiologists are comfortable diagnosing them just on the basis of serial mammograms. If one feels a lump that is new or different, painful or painless, always consult with your doctor!

Dr. Otto Placik Dr. Placik
Surgery - Plastics
30 years in practice
Northwestern University Feinberg School of Medicine
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I'm 46 and had a core biopsy for a large breast lump. The diagnosis was fibroadenoma. Will it ever turn malignant?

I'm 46 and had a core biopsy for a large breast lump. The diagnosis was fibroadenoma. Will it ever turn malignant?

NO: Generally fibroadenomas are benign tumors that predcominantly occur in younger females of childbearing age. In and of themselves, they do not transform into malignant lesions. This is determined by other factors such as family history, genetic testing, calcfications, cellular atypia, etc. That will be a part of a complete hsitory and physical examination, .

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Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
4

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Is surgery the best option for one to do when diagnosed with fibroadenoma?

Not necessarily.: When a tumor is found in the breast it is essential to determine whether it is benign or malignant. This is best done by means of a non-surgical needle biopsy. If a fibroadenoma is diagnosed, this is benign and does not need to be removed unless it is very large and/or causing significant breast pain.

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Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
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What are the tests for fibroadenoma?

What are the tests for fibroadenoma?

Needle biopsy: Fibroadenomas have a very classic appearance on mammogram and ultrasound, but this can sometime be misleading. The most definitive test is needle biopsy under x-ray or ultrasound guidance. However, if it has been seen for years on mammography and is unchanged, ongoing observation is a reasonable option.

Dr. Christian Schultheis Dr. Schultheis
Internal Medicine - Hematology & Oncology
20 years in practice
American University of the Caribbean
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I want to know about the treatment of fibroadenoma without surgery?

Monitor: Just monitor it with exam and if needed ultrasound. Hope this helps.

Dr. Regina Hampton Dr. Hampton
Breast Surgery
19 years in practice
Drexel University College of Medicine
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What can cause a fibroadenoma?

What can cause a fibroadenoma?

Non cancerous: Fibroadenomas are common, noncancerous masses seen in teenage girls and young women. We do not know their exact cause. A great resource: http://www. Mayoclinic. Com/health/fibroadenoma/ds01069.

Dr. David Masiello Dr. Masiello
Internal Medicine - Hematology & Oncology
14 years in practice
Boston University School of Medicine
8
Dr. Dennis Higginbotham Dr. Higginbotham
Obstetrics & Gynecology
26 years in practice
University of Kansas School of Medicine
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How can I treat breast fibroadenoma?

How can I treat breast fibroadenoma?

Carefully: A fibroadenoma of the breast is a benign tumor and can be safely followed with observation. However, the only way to know that it is a fibroadenoma is to have it biopsied. If it is confirmed to be benign, observation is appropriate, until it has changed - then repeat biopsy is needed. It may be more reasonable to have it excised, an not take a chance on missing a cancer.

Dr. Otto Placik Dr. Placik
Surgery - Plastics
30 years in practice
Northwestern University Feinberg School of Medicine
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Anyone treated a recurrent fibroadenoma lump in a breast? What happens to it?

Anyone treated a recurrent fibroadenoma lump in a breast? What happens to it?

New or incomplete: It is unlikely tht you have a recurrent fibroadenoma. In all likelihood it is a new mass or the previous one was incompletely excised. In either case, with a previous tissue diagnosis, no treatment may be required. However, if it is suspicous on ultrasound or mammo or mri, a biopsy may be recommended to establish a definitive diagnosis.

Dr. Dariush Vaziri Dr. Vaziri
Breast Surgery
43 years in practice
Tehran University of Medical Sciences and Health Services
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I have 2.16 CM fibroadenoma in my breast. I know it by biopsy. I want to know its cure without surgery?

I have 2.16 CM fibroadenoma in my breast. I know it by biopsy. I want to know its cure without surgery?

Possibly can be done: Fibroadenoma is a benign tumor. It can be observed. Occasionally it can regress. Sometimes it can grow larger or change. If it changes significantly, it is best to remove it. Your fibroadenoma's size is bordeline for non-surgical removal which can be done by vacuum assisted large biopsy needles or by ablation or freezing it. Look for a breast surgeon experienced in either of above procedures.

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Dr. Elizabeth Wallen Dr. Wallen
Pediatrics
31 years in practice
The Wright State University Boonshoft School of Medicine
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I am hypothyroid and want to get rid of fibroadenoma naturally. Anemic too we are planning for family. I am worried of health?

I am hypothyroid and want to get rid of fibroadenoma naturally. Anemic too we are planning for family. I am worried of health?

Some concerns...: If you are wanting to start a family you need to be in the best health you can be to support a pregnancy. You may find it difficult to get pregnant and support a pregnancy if your hypothyroidism and anemia are not corrected. Go see your doctor and get checked out. Correct your health so you can have the healthiest baby possible. Good luck!

Dr. Gaston Moran Celayes Dr. Moran Celayes
Internal Medicine
22 years in practice
Favaloro University Faculty of Medical Sciences
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I have 2 fibroadenomas, breast specialist said no biopsy is needed. Had 2 ultrasound follow-ups. Should I worry not having a biopsy done? 25, no history.

Talk to you doctor: Any plan about your health should be with your agreement. It is good as long as you both stick to it: you following up with your physician and your physician ordering the appropriate test. If you have regular follow ups and the aspect of the lesion doesn't change you shouldn't be worried.

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Dr. Ed Kaplan Dr. Kaplan
Internal Medicine - Hematology & Oncology
35 years in practice
Loyola University Chicago Stritch School of Medicine
15
Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
16

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Would I get an excisional biopsy for my small fibroadenoma?

Would I get an excisional biopsy for my small fibroadenoma?

Usually unnecessary: Nonsurgical needle biopsy is the standard for diagnosing mammographic abnormalities. Once the benign diagnosis is established, it is usually unnecessary to surgically remove a benign fibroadenoma. However, if it is followed and growing, excision is often recommended to prevent further growth and exclude rare "locally aggressive" fibroadenoma-variants called phyllodes tumors.

Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
17

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What is fibroadenoma?

Benign Breast Tumor: Fibroadenomas are the most common benign breast tumor. They have a tendency to grow in response to high estrogen levels as seen in puberty and pregnancy. They have a characteristic appearance on ultrasound but can be confused with cancers and are often biopsied by nonsurgical means to establish diagnosis. They do not need to be removed but some women opt for this due to pain or cosmetic concerns.

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Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
18

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Can fibroadenomas grow back?

Can fibroadenomas grow back?

Yes: If incompletely removed, a fibroadenoma can grow back. Alternatively, it is possible to develop a second, unrelated fibroadenoma in the same breast.

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Dr. Romeo Mandanas Dr. Mandanas
Internal Medicine - Hematology & Oncology
34 years in practice
Cebu Institute of Medicine
19

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Can fibroadenoma be treated?

Surgery or watch: If fibroadenomas are small and not causing any trouble or interfering with the follow up of other suspicious lesions in the breast, they can just be left alone without further risk of problems. Otherwise, if they are very large or growing or causing deformity or pain, they can be removed by surgery (lumpectomy or excision biopsy).

Dr. Regina Hampton Dr. Hampton
Breast Surgery
19 years in practice
Drexel University College of Medicine
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What can cause a fibroadenoma?

Non cancerous: Fibroadenomas are common, noncancerous masses seen in teenage girls and young women. We do not know their exact cause. A great resource: http://www. Mayoclinic. Com/health/fibroadenoma/ds01069.